| NPI | 1114477767 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY L STONE Supervisor 615-351-6285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: TN 547) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TN 2263) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |